Page 1 of 52 Created By FutureBright
AANP TEST PRACTICE ACTUAL EXAM ALL 400
QUESTIONS AND CORRECT ANSWERS GRADED
A+
90 % renal, 10% hepatic, need supplementation when GFR is less than 49 -
ANSWER: Erythropoetin
In health, make up 1-2 % of total RBCs, increased in response to anema. Absence
of reticulocytosis or presence of reticulocytopenia shows inadequate bone marrow
response. - ANSWER: Reticulocytes
normal is 12 for females and 15 for males. Ratio to hematocrit is 1:3 - ANSWER:
Hemoglobin
determines red blood cell size - normal is 80-96 - ANSWER: MCV
reflects hgb content and color, normal is 31-37 - ANSWER: MCH
variation of RBC size - normal is 11.5-15% - ANSWER: RDW
acute blood loss, anemia of chronic disease - ANSWER: Normocytic,
normochromic , normal RDW
Iron deficiency anemia - ANSWER: Microcytic, hypochromic anemia, elevated
RDW
alpha or beta thalassemia minor - ANSWER: Microcytic, hypochromic, normal
RDW
,Page 2 of 52
Vitamin B12 deficiency, folate deficiency, pernicious anemia - ANSWER:
Macrocytic, normochromic, elevated RDW
use of medications like tegretol, AZT, depakote, dilantin, alcohol - ANSWER:
Macrocytosis without anemia
Hemic murmur - ANSWER: Heart murmur seen in b12 deficiency
S. pneumoniae - ANSWER: Most common pathogen in CAP, ABRS, AOM
H. influenzae, more than 30% now pcn resistant via beta lactamase production -
ANSWER: Common pathogen in ABRS, AOM, CAP particularly with recurrent
infections and tobacco use
Augmentin 500/125 TID or 875/125 BID - ANSWER: First line treatment for
Acute Bacterial Rhinosinusitis
Augmentin 2000/125 BID or doxy 100 mg BID or 200 mg QD - ANSWER:
Second line treatment for Acute Bacterial Rhinosinusitis
Doxy, Levofloxacin, Moxifloxacin - ANSWER: Treatment for ABRS if allergic to
PCN, Cephalosporins
Doxy, levofloxacin, moxifloxacin - ANSWER: Treatment for ABRS if antibiotic
resistance of failed initial therapy
,Page 3 of 52
slowly progressive hearing loss that is symmetric and high frequency - ANSWER:
Presbycusis
Intranasal corticosteriods like Flonase, Nasonex, Nasacort, Omnaris. Side effects
are that nasal irritation and bleeding may occur. Optimal efficacy may take 1-2
weeks. - ANSWER: 1st line controller therapy in allergic rhinitis
Nasal antihistamines, esp if there is nasal congestion. sedation could occur. Drugs
like astelin, Astepro, and patanase - ANSWER: 1st line rescue treatment in
allergic rhinitis
significant potential to cause sedation and anticholinergic effects so not a first line
therapy. Ex. benadryl, chlor trimeton, dimetapp, vistaril. - ANSWER: 1st
generation oral antihistamines
These are preferred over because no anticholinergic effects but not as helpful with
nasal congestion. Ex. claritin, clarinex, zyrtec, allergra - ANSWER: 2nd
generation oral antihistamines
alpha adrenergic agonist so vasoconstrictive. Take caution with the elderly, young
children, HTN, bladder neck obstruction, glaucoma, and hyperthyroidism. Ex.
sudafed - ANSWER: Oral decongestants
Alpha adrenergic agonist so vasoconstrictive. Can cause rebound
congestion/medicamentosa so limit use to 5-7 days. - ANSWER: Nasal
decongestants
reduce runny nose because of drying action. No effect on other nasal symptoms.
Dryness can occur. Ex.. Atrovent - ANSWER: Intranasal anticholinergics
, Page 4 of 52
deeply cupped optic disc because of increase intraocular pressure than pushes the
optic disc backwards., acute, painful - ANSWER: Found on fundoscopic exam of
person with angle-closure glaucoma
screening test for macular problems. - ANSWER: Amsler grid
Treatment for Gonorrhea - ANSWER: Rocephin (Ceftriaxone) 250mg IM and
Azithromycin 1 gm po x1
or doxy 100mg BID x7 days
Treatment for Chlamydia - ANSWER: Azithromycin 1 gm po x1 or doxy 100 mg
BID x 7 days
or Amoxicillin 500 mg po TID x 7 days
test for cure 3 weeks after completion of treatment. No doxy for preggo
Treatment for Bacterial vaginosis - ANSWER: Flagyl BID x 7 days
Candidia vaginitis treatment - ANSWER: diflucan 100mg x1
Fever, chills, N/v, photophobia, myalgia, arthralgias usually present then report
development of a petechial rash on forearms, ankles, wrists, that spreads towards
trunk and becomes generalized. Pt usually reports spending time in the woods. -
ANSWER: Rocky Mountain Spotted Fever
AANP TEST PRACTICE ACTUAL EXAM ALL 400
QUESTIONS AND CORRECT ANSWERS GRADED
A+
90 % renal, 10% hepatic, need supplementation when GFR is less than 49 -
ANSWER: Erythropoetin
In health, make up 1-2 % of total RBCs, increased in response to anema. Absence
of reticulocytosis or presence of reticulocytopenia shows inadequate bone marrow
response. - ANSWER: Reticulocytes
normal is 12 for females and 15 for males. Ratio to hematocrit is 1:3 - ANSWER:
Hemoglobin
determines red blood cell size - normal is 80-96 - ANSWER: MCV
reflects hgb content and color, normal is 31-37 - ANSWER: MCH
variation of RBC size - normal is 11.5-15% - ANSWER: RDW
acute blood loss, anemia of chronic disease - ANSWER: Normocytic,
normochromic , normal RDW
Iron deficiency anemia - ANSWER: Microcytic, hypochromic anemia, elevated
RDW
alpha or beta thalassemia minor - ANSWER: Microcytic, hypochromic, normal
RDW
,Page 2 of 52
Vitamin B12 deficiency, folate deficiency, pernicious anemia - ANSWER:
Macrocytic, normochromic, elevated RDW
use of medications like tegretol, AZT, depakote, dilantin, alcohol - ANSWER:
Macrocytosis without anemia
Hemic murmur - ANSWER: Heart murmur seen in b12 deficiency
S. pneumoniae - ANSWER: Most common pathogen in CAP, ABRS, AOM
H. influenzae, more than 30% now pcn resistant via beta lactamase production -
ANSWER: Common pathogen in ABRS, AOM, CAP particularly with recurrent
infections and tobacco use
Augmentin 500/125 TID or 875/125 BID - ANSWER: First line treatment for
Acute Bacterial Rhinosinusitis
Augmentin 2000/125 BID or doxy 100 mg BID or 200 mg QD - ANSWER:
Second line treatment for Acute Bacterial Rhinosinusitis
Doxy, Levofloxacin, Moxifloxacin - ANSWER: Treatment for ABRS if allergic to
PCN, Cephalosporins
Doxy, levofloxacin, moxifloxacin - ANSWER: Treatment for ABRS if antibiotic
resistance of failed initial therapy
,Page 3 of 52
slowly progressive hearing loss that is symmetric and high frequency - ANSWER:
Presbycusis
Intranasal corticosteriods like Flonase, Nasonex, Nasacort, Omnaris. Side effects
are that nasal irritation and bleeding may occur. Optimal efficacy may take 1-2
weeks. - ANSWER: 1st line controller therapy in allergic rhinitis
Nasal antihistamines, esp if there is nasal congestion. sedation could occur. Drugs
like astelin, Astepro, and patanase - ANSWER: 1st line rescue treatment in
allergic rhinitis
significant potential to cause sedation and anticholinergic effects so not a first line
therapy. Ex. benadryl, chlor trimeton, dimetapp, vistaril. - ANSWER: 1st
generation oral antihistamines
These are preferred over because no anticholinergic effects but not as helpful with
nasal congestion. Ex. claritin, clarinex, zyrtec, allergra - ANSWER: 2nd
generation oral antihistamines
alpha adrenergic agonist so vasoconstrictive. Take caution with the elderly, young
children, HTN, bladder neck obstruction, glaucoma, and hyperthyroidism. Ex.
sudafed - ANSWER: Oral decongestants
Alpha adrenergic agonist so vasoconstrictive. Can cause rebound
congestion/medicamentosa so limit use to 5-7 days. - ANSWER: Nasal
decongestants
reduce runny nose because of drying action. No effect on other nasal symptoms.
Dryness can occur. Ex.. Atrovent - ANSWER: Intranasal anticholinergics
, Page 4 of 52
deeply cupped optic disc because of increase intraocular pressure than pushes the
optic disc backwards., acute, painful - ANSWER: Found on fundoscopic exam of
person with angle-closure glaucoma
screening test for macular problems. - ANSWER: Amsler grid
Treatment for Gonorrhea - ANSWER: Rocephin (Ceftriaxone) 250mg IM and
Azithromycin 1 gm po x1
or doxy 100mg BID x7 days
Treatment for Chlamydia - ANSWER: Azithromycin 1 gm po x1 or doxy 100 mg
BID x 7 days
or Amoxicillin 500 mg po TID x 7 days
test for cure 3 weeks after completion of treatment. No doxy for preggo
Treatment for Bacterial vaginosis - ANSWER: Flagyl BID x 7 days
Candidia vaginitis treatment - ANSWER: diflucan 100mg x1
Fever, chills, N/v, photophobia, myalgia, arthralgias usually present then report
development of a petechial rash on forearms, ankles, wrists, that spreads towards
trunk and becomes generalized. Pt usually reports spending time in the woods. -
ANSWER: Rocky Mountain Spotted Fever
